title: Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977-2010.
abstract: OBJECTIVE
  To assess if the risk of first-time salpingectomy was affected by prior hysterectomy with retained fallopian tubes and by prior sterilisation.
  
  
  METHODS
  A historical cohort study.
  
  
  METHODS
  Denmark.
  
  
  METHODS
  170 000 randomly selected women born 1947-1963 (10 000/year) were followed from 1977 until the end of 2010.
  
  
  METHODS
  Effect of hysterectomy with retained fallopian tubes or sterilisation on the risk of salpingectomy. Both were modelled in a Cox proportional hazards model as time-dependent covariates, analysing time to first salpingectomy. End of follow-up period was 31 December 2010.
  
  
  RESULTS
  Of 9591 hysterectomies, 6456 (67.3%) had both fallopian tubes retained. HRs for salpingectomy after hysterectomy with retained fallopian tubes and sterilisation were 2.13 (95% 1.88 to 2.42) and 2.42 (2.21 to 2.64), as compared with those for non-hysterectomised and non-sterilised women.
  
  
  CONCLUSIONS
  Women undergoing hysterectomy with retained fallopian tubes or sterilisation have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy should therefore be recommended.
authors.affiliation: Department of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark.
authors.forename: Rikke
authors.initials: R
authors.lastname: Guldberg
authors.forename: Sonja
authors.initials: S
authors.lastname: Wehberg
authors.forename: Charlotte Wessel
authors.initials: CW
authors.lastname: Skovlund
authors.forename: Ole
authors.initials: O
authors.lastname: Mogensen
authors.forename: Ojvind
authors.initials: O
authors.lastname: Lidegaard
keywords: Chort study; Gynaecology; Hysterectomy; Salpingectomy; Sterilisation